NPIMap

Organization Active NPI

Clark Robinson, M.D.,P.C.

  • Family Medicine Physician
  • Douglasville, GA
National Provider Identifier
1750422242
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9601 Issued in GA
Legal business name
CLARK ROBINSON, M.D.,P.C.
Practice address
6671 Church St
Douglasville, GA 30134-1715
Phone
(770) 942-5111
Fax
(770) 920-8591
NPI assigned
Feb 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Tammy J Robinson, M.D.
Title
M.D.
Phone
(770) 942-5111

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9601 GA Primary
Family Medicine Physician 207Q00000X 034696 GA

Addresses

Primary practice location

6671 Church St
Douglasville, GA 30134-1715

Mailing address

6671 Church St
Douglasville, GA 30134-1715
Phone (770) 942-5111

Other identifiers 2

IdentifierTypeStateIssuer
1932133790 (NPI)OtherGADR. CLARK ROBINSON
1508890401 (NPI)OtherGADR. TAMMY J. ROBINSON

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750422242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6671 CHURCH ST",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301341715",
            "telephone_number": "770-942-5111",
            "fax_number": "770-920-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6671 CHURCH ST",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301341715",
            "telephone_number": "770-942-5111",
            "fax_number": "770-920-8591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK ROBINSON, M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "770-942-5111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "9601",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "034696",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. CLARK ROBINSON",
            "identifier": "1932133790 (NPI)",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. TAMMY J. ROBINSON",
            "identifier": "1508890401 (NPI)",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.